Muscle weakness, functional capacities and recovery for COVID-19 ICU survivors

Few studies have evaluated muscle strength in COVID-19 ICU survivors. We aimed to report the incidence of limb and respiratory muscle weakness in COVID-19 ICU survivors. We performed a cross sectional study in two ICU tertiary Hospital Settings. COVID-19 ICU survivors were screened and respiratory a...

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Bibliographic Details
Published in:BMC anesthesiology 2021-03, Vol.21 (1), p.64-64, Article 64
Main Authors: Medrinal, Clément, Prieur, Guillaume, Bonnevie, Tristan, Gravier, Francis-Edouard, Mayard, Denys, Desmalles, Emmanuelle, Smondack, Pauline, Lamia, Bouchra, Combret, Yann, Fossat, Guillaume
Format: Article
Language:English
Subjects:
Aged
Arm - physiopathology
Coronaviruses
COVID-19
COVID-19 - complications
COVID-19 - physiopathology
Cross-Sectional Studies
Extubation
Female
Follow-Up Studies
France
Humans
Intensive care unit
Intervention
Leg - physiopathology
Lung - physiopathology
Male
Mechanical ventilation
Middle Aged
Muscle strength
Muscle weakness
Muscle Weakness - etiology
Muscle Weakness - physiopathology
Neuromuscular electrical stimulation
Patients
Physical therapy
Physiotherapy
Recovery of function
Regression analysis
Rehabilitation
Retrospective Studies
SARS-CoV-2
Therapeutics, Physiological
Ventilators
Walking
Weaning
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Summary:Few studies have evaluated muscle strength in COVID-19 ICU survivors. We aimed to report the incidence of limb and respiratory muscle weakness in COVID-19 ICU survivors. We performed a cross sectional study in two ICU tertiary Hospital Settings. COVID-19 ICU survivors were screened and respiratory and limb muscle strength were measured at the time of extubation. An ICU mobility scale was performed at ICU discharge and walking capacity was self-evaluated by patients 30 days after weaning from mechanical ventilation. Twenty-three patients were included. Sixteen (69%) had limb muscle weakness and 6 (26%) had overlap limb and respiratory muscle weakness. Amount of physiotherapy was not associated with muscle strength. 44% of patients with limb weakness were unable to walk 100 m 30 days after weaning. The large majority of COVID-19 ICU survivors developed ICU acquired limb muscle weakness. 44% of patients with limb weakness still had severely limited function one-month post weaning.
ISSN:1471-2253
1471-2253
DOI:10.1186/s12871-021-01274-0